Organization Name: | RICHARD & MARCIA STAUTER |
NPI Number: | 1629244470 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARCIA SCHULTE STAUTER (OWNER) |
Mailing Address: | 3545 W 12th St Ste. 101 Greeley |
State: | CO US |
Postal Code: | 806342545 |
Phone Number: | 9703524200 |
Fax Number: | 9703524278 |
NPI Enumeration Date: | 05/01/2008 |
NPI Last Update Date: | 03/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1282 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |